Surgical Corrective Procedures - CHD
For Congenital Heart Disease (CHD)
·
AORTICOPULMONARY
WINDOW SHUNT
= side-to-side
anastomosis between ascending aorta and left pulmonary artery (reversible procedure) – used in Tetralogy
of Fallot
·
BLALOCK-HANLON
PROCEDURE
=
surgical creation of ASD: Complete transposition
·
BLALOCK-TAUSSIG
SHUNT
= end-to-side
anastomosis of subclavian artery to pulmonary artery, performed ipsilateral to
innominate artery/opposite to aortic arch: Tetralogy of Fallot, tricuspid
atresia c pulmonic stenosis
·
FONTAN
PROCEDURE
= (1) external conduit
from R atrium to pulmonary trunk (= venous return enters pulmonary artery
directly) (2) closure of ASD: floor constructed from flap of atrial wall and
roof from piece of prosthetic material: Tricuspid atresia
·
GLENN
SHUNT
= end-to-side shunt
between distal end of right pulmonary artery and SVC; reserved for patients
with cardiac defects in which total correction is not anticipated: Tricuspid
atresia
·
POTT
SHUNT
=
side-to-side anastomosis between descending aorta + left pulmonary artery: Tetralogy
of Fallot
·
MUSTARD
PROCEDURE
= (1) removal of atrial
septum (b) pericardial baffle placed into common atrium such that systemic
venous blood is rerouted into left ventricle and pulmonary venous return into
right ventricle and aorta: Complete Transposition
·
RASHKIND
PROCEDURE
=
balloon atrial septostomy: Complete transposition
·
RASTELLI
PROCEDURE
= external conduit
(Dacron) with porcine valve connecting RV to pulmonary trunk: Transposition
·
WATERSON-COOLEY
SHUNT
= side-to-side
anastomosis between ascending aorta and right pulmonary artery (a) extrapericardial (WATERSON) and (b)
intrapericaridial (COOLEY): Tetralogy of Fallot
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